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The HEART Score for Chest Pain Patients in the ED

Calculate the HEART Score @ https://www.mdcalc.com/heart-score-major-cardiac-events

#Diagnosis #Management
The HEART Score ... for Chest Pain Patients ... www.mdcalc.com/heart-score-major-cardiac-events ... #Diagnosis #Management ... #Cardiology #HEARTScore
HEART Score allows us to risk stratify low risk chest pain patients and get them out
HEART Score allows ... stratify low risk chest ... Calculate the HEART ... www.mdcalc.com/heart-score-major-cardiac-events ... #Diagnosis #Cardiology
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
exercise intolerance, chest ... Cardiac: • Valvular ... heart disease ... • Structural heart ... #Fibrillation #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... performed) • Clinical ... intolerance • Chest ... shock, sudden cardiac ... #Management #Cardiology
Tetralogy of Falot on Chest X-Ray
Tetralogy of Falot comprises four defects -
1. Ventricular septal defect (VSD)
2.
Tetralogy of Falot on Chest ... develops after birth Chest ... caused the upturned cardiac ... the most common cardiac ... Tetralogy #Falot #Chest
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
Cardiac incisura ... right side of the chest ... wall, since the heart ... #Clinical #Radiology ... #CXR #Lateral #Cardiac
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Heart failure with ... Fraction (HFrEF) Clinical ... Chest x-ray: signs ... Consider cardiac ... #management #cardiology
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Muffled heart sounds ... of dyspnea and chest ... #Pericardial #Cardiac ... #Becks #Triad #Diagnosis ... #Cardiology
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... Pulmonary embolism • Cardiac ... Serial troponin; HEART ... score for PE • CTA ... MatthewHoMD #Chest
Ex-vivo angiography of a transplant heart. Further widening of the donor pool!

- James Nadel @jimmy_nardel

#Exvivo #angiography
of a transplant heart ... fluoroscopy #transplant #heart ... #cardiac #thoracic ... #surgery #cts # ... clinical #cardiology